MELINDAS GUARDIAN ANGEL PERSONAL CARE HOME


Address: 593 Eighth St, Statham, GA 30666-1830
Phone: 7707257407

MELINDAS GUARDIAN ANGEL PERSONAL CARE HOME (NPI# 1841504511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841504511
Entity Type Organization
Organization Name MELINDAS GUARDIAN ANGEL PERSONAL CARE HOME
Practice Address 593 Eighth St
Statham
GA 30666-1830
Mailing Address 1301 Dianne Way
Winder
GA 30680-5621
Practice Telephone 7707257407
Practice Fax Number 6789632761
Mailing Telephone 6785582116
Mailing Fax Number 6789632761
Enumeration Date 2010-08-04
Last Update Date 2010-08-04
Authorized Official Name MS. KAREN MECHELLE DELANEY (ADMINISTRATOR)
Authorized Official Telephone 6785582116
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness 007010311 GA Residential Treatment Facilities

Office Location

Street Address 593 EIGHTH ST
City STATHAM
State GA
Zip Code 30666-1830

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689857195 Statham Family Practice PC Family Medicine 1906 Railroad St, Suite C, Statham, GA 30666 2007-12-07
1447442959 Statham Medical Clinic General Practice 337 Jefferson St., Statham, GA 30666 2007-08-17
1487703245 Felipe Reyes Musngi Family Medicine 337 Jefferson Street, Statham, GA 30666 2007-01-10
1962402461 Steven Alan Durocher Emergency Medicine 1906 Railroad Street, Ste C, Statham Family Practice, PC, Statham, GA 30666 2005-07-26
1639530868 Statham City Pharmacy LLC Pharmacy 333 Jefferson St, Statham, GA 30666 2016-03-16
1356792337 Matthew Fitzpatrick Pharmacist 1860 High Green Dr, Statham, GA 30666-1673 2016-06-30
1164844296 Statham City Pharmacy Pharmacy 333 Jefferson St, Statham, GA 30666-1710 2014-01-08
1770522674 Barrow-statham Pharmacy Pharmacist 333 Jefferson St, Statham, GA 30666-1710 2006-06-06
1295393643 Tina K Williams Behavior Technician 189 Village Pass, Statham, GA 30666-1713 2019-05-31
1760511943 David R. Epps Pharmacist 1918 Railroad St, Statham, GA 30666-1875 2007-03-05
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417561747 Georgia Regional Health LLC Community Based Residential Treatment Facility, Mental Illness 1211 Waterville Ct, Alpharetta, GA 30022-5381 2020-09-03
1275161192 Monte Nido Georgia LLC Community Based Residential Treatment Facility, Mental Illness 124 Johnson Ferry Rd Ne, Sandy Springs, GA 30328-3004 2020-03-27
1811464035 Hope Homes Recovery, LLC Community Based Residential Treatment Facility, Mental Illness 432 Virginia Rd, Atlanta, GA 30338-4793 2018-10-25
1770066029 New Beginnings PCh of Columbus, LLC Community Based Residential Treatment Facility, Mental Illness 639 Lawyers Ln, Columbus, GA 31906-3812 2018-09-12
1588140859 Butterfly Development, LLC Community Based Residential Treatment Facility, Mental Illness 1911 Grayson Highway, Suite 8-242, Grayson, GA 30017 2018-07-19
1326555210 Clayton Center Mhaddd Community Based Residential Treatment Facility, Mental Illness 5930 Highway 85 Unit 101, Riverdale, GA 30274-1502 2018-01-02
1245747138 Clayton Center Mhaddd Community Based Residential Treatment Facility, Mental Illness 5930 Highway 85 Unit 104, Riverdale, GA 30274-1502 2018-01-02
1235646217 Clayton Center Mhaddd Community Based Residential Treatment Facility, Mental Illness 5930 Highway 85 Unit 401, Riverdale, GA 30274-1502 2017-12-29
1528574431 House of Concrete Roses, LLC Community Based Residential Treatment Facility, Mental Illness 1133 Huff Rd Nw Apt 766, Atlanta, GA 30318-4327 2017-12-15
1508391756 Mister Life Coach Community Based Residential Treatment Facility, Mental Illness 3681 N Decatur Rd Apt R11, Decatur, GA 30032-1062 2017-04-25
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Competitor

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City STATHAM
Zip Code 30666

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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